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by themantalope 1252 days ago
Radiologist.

It’s cool, it’s a nice study. The article definitely over hypes the “common cause of hypertension”. These lesions are rare. Most people with high blood pressure have it because of metabolic disease/chronic stress/lifestyle, and it can be managed with changes to diet exercise and meds.

It is true that doing adrenal vein sampling is hard and not always successful. Having a protocol that can non-invasively detect these lesions may save some people a procedure.

2 comments

Thanks for this. Metabolic/stress/lifestyle problems were exactly my story. I had hypertension, anxiety, and was prediabetic. Using low carb and intermittent fasting, I lost 91 pounds, was no longer prediabetic, and went completely off bp meds. Anxiety is managed much better (no meds). My doc was amazed.
> Most people with high blood pressure have it because of metabolic disease/chronic stress/lifestyle, and it can be managed with changes to diet exercise and meds.

Do we know this though? If, as the article claims, the lesions were previously hard to detect, I would guess that most people with them never get diagnosed. I have high blood pressure and I've never been examined for those lesions.

Yeah there are other ways to tell if someone has aldosterone driven hypertension through blood work and urine tests. These other tests are to determine if surgery could fix the problem (tumor or unilateral vs bilateral abnormal aldosterone production).

Edited for clarity